NPI | 1316500176 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 69231) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: VA 0101286532) | |
208M00000X Hospitalist (Licence: NY 317014) | |
Enumeration Date | 2019-04-17 |
Last Update Date | 2025-09-05 |