NPI | 1386910677 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 293646) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 293646) |
207R00000X Internal Medicine (Licence: NY 293646) | |
208M00000X Hospitalist (Licence: NY 293646) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-03-30 |
Last Update Date | 2022-02-04 |