NPI | 1639598303 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS14572) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS14572) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-10 |
Last Update Date | 2022-04-01 |