NPI | 1265968853 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.37284) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 322642) |
208M00000X Hospitalist (Licence: SC 88600) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-05-03 |
Last Update Date | 2024-05-14 |