NPI | 1205464567 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME170075) |
208M00000X Hospitalist (Licence: FL ME170075) | |
Enumeration Date | 2020-03-31 |
Last Update Date | 2025-06-03 |