NPI | 1659639847 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 56824) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 074443) |
208M00000X Hospitalist (Licence: GA 074443) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-25 |
Last Update Date | 2018-11-06 |