| NPI | 1982812269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2009-00435) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 2009-00435) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-12-29 |