NPI | 1295266443 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 83334-20) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042.0014716) |
208M00000X Hospitalist (Licence: VT 042-0014716) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-21 |
Last Update Date | 2024-08-14 |