NPI | 1285850784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: MN 59748) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD13676) |
208M00000X Hospitalist (Licence: RI LP00959) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2021-04-22 |