| NPI | 1932398989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: IN 01075123A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 248331) |
| 207R00000X Internal Medicine (Licence: OH 35.094356) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN11763) | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2019-01-24 |