NPI | 1174144372 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2023027933) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2023027933) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-29 |
Last Update Date | 2023-08-22 |