NPI | 1467859769 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 289757-1) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A150464) |
207R00000X Internal Medicine (Licence: CT 62054) | |
208M00000X Hospitalist (Licence: CT 62055) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-12-02 |
Last Update Date | 2018-11-06 |