NPI | 1649545872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101262073) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 262148) |
208M00000X Hospitalist (Licence: VA 0101262073) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-03-21 |
Last Update Date | 2021-07-31 |