| NPI | 1952920613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 010414) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 05317) |
| 207R00000X Internal Medicine (Licence: AZ 010414) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2024-07-17 |