NPI | 1407201858 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NM MD2019-0615) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2019-0615) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-03 |
Last Update Date | 2025-09-16 |