NPI | 1255871711 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A164328) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD.47106) |
208M00000X Hospitalist (Licence: DE C1-0025351) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-03 |
Last Update Date | 2024-05-07 |