| NPI | 1942555073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 38697) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 75794) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: SC 38697) | |
| 207R00000X Internal Medicine (Licence: GA 075794) | |
| Enumeration Date | 2012-07-15 |
| Last Update Date | 2022-08-11 |