NPI | 1609256346 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 264174) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 264174) |
208M00000X Hospitalist (Licence: MA 264174) | |
Enumeration Date | 2015-06-08 |
Last Update Date | 2018-03-17 |