NPI | 1356847107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: PR 22639) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 22639) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-02 |
Last Update Date | 2022-08-01 |