NPI | 1649733437 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NV DO3187) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NV DO3187) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-09 |
Last Update Date | 2023-03-01 |