NPI | 1467884775 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A137500) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A137500) |
207R00000X Internal Medicine (Licence: MI 4301111222) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-08-09 |
Last Update Date | 2021-11-08 |