| NPI | 1992298772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA OP61254538) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT019271) |
| 207R00000X Internal Medicine (Licence: WA OP61254538) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2022-07-08 |