NPI | 1235526898 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101282234) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 38291) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-22 |
Last Update Date | 2024-07-31 |