NPI | 1154769545 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 40964) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101260427) |
207R00000X Internal Medicine (Licence: AL 40964) | |
208M00000X Hospitalist (Licence: VA 0101260427) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-06-07 |
Last Update Date | 2020-12-17 |