NPI | 1528591369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A169453) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: CA A169453) | |
207R00000X Internal Medicine (Licence: PA MD471387) | |
Enumeration Date | 2017-04-08 |
Last Update Date | 2024-10-04 |