NPI | 1255827085 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 74189) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 74189) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 7141-851) | |
Enumeration Date | 2018-07-04 |
Last Update Date | 2022-04-29 |