NPI | 1013545300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME157865) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME157865) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-31 |
Last Update Date | 2023-10-06 |