NPI | 1447743158 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 65019) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101274020) |
207R00000X Internal Medicine (Licence: VA 0101274020) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-08 |
Last Update Date | 2022-08-12 |