NPI | 1457779407 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01081311A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV WV-SE-1766) |
208M00000X Hospitalist (Licence: WV WV-SE-1766) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-06 |
Last Update Date | 2022-10-12 |