NPI | 1235514555 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 295270) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 70676) |
208M00000X Hospitalist (Licence: MA 295270) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-07-28 |
Last Update Date | 2023-03-28 |