NPI | 1386148872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2020008920) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IL 1386148872) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-20 |
Last Update Date | 2024-02-07 |