NPI | 1003229014 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 29163) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 29163) |
208M00000X Hospitalist (Licence: NE 29163) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-06 |
Last Update Date | 2019-08-01 |