| NPI | 1912534322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35.150123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1014860) |
| 207RI0008X Internal Medicine, Hepatology (Licence: MA 1014860) | |
| 208M00000X Hospitalist (Licence: MA 1014860) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351046142) | |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-07-11 |