| NPI | 1952753105 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 63960) |
| 208M00000X Hospitalist (Licence: CT 63960) | |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2019-07-17 |