NPI | 1437673977 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: TN 70655) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT212447) |
208M00000X Hospitalist (Licence: OH 35.139761) | |
Enumeration Date | 2017-07-26 |
Last Update Date | 2024-05-22 |