NPI | 1194258087 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A204272) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 61287) |
207RR0500X Internal Medicine, Rheumatology (Licence: CA A204272) | |
208M00000X Hospitalist (Licence: AZ 61287) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: RI LP06098) | |
Enumeration Date | 2017-04-06 |
Last Update Date | 2025-08-14 |