NPI | 1649666983 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 60370) |
208M00000X Hospitalist (Licence: CT 60370) | |
Enumeration Date | 2015-04-14 |
Last Update Date | 2021-07-03 |