NPI | 1609379775 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 290279) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 290279) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 273399) | |
Enumeration Date | 2018-03-14 |
Last Update Date | 2022-01-14 |