| NPI | 1982129805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: KS 04-47662) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MO 2017027308) |
| 207RN0300X Internal Medicine, Nephrology (Licence: MI 4351045572) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2023-07-11 |