NPI | 1154771178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019024289) |
208M00000X Hospitalist (Licence: MO 2019024289) | |
Enumeration Date | 2016-06-21 |
Last Update Date | 2024-07-02 |