NPI | 1598329872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 33889) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 318351) |
390200000X Student in an Organized Health Care Education/Training Program | |
207P00000X Emergency Medicine (Licence: NV 27192) | |
208M00000X Hospitalist (Licence: NC 2024-03385) | |
Enumeration Date | 2019-04-23 |
Last Update Date | 2025-07-01 |