NPI | 1639632466 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A177845) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A177845) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-09 |
Last Update Date | 2022-06-10 |