NPI | 1639663784 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A163952) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: 0000) |
207R00000X Internal Medicine (Licence: CA A163952) | |
Enumeration Date | 2018-06-20 |
Last Update Date | 2024-09-19 |