NPI | 1114487345 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME154546) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME154546) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-22 |
Last Update Date | 2022-07-27 |