NPI | 1184034159 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 16435) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NV 16435) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-30 |
Last Update Date | 2024-10-30 |