NPI | 1700522778 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CT 2324782) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 1700522778) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-05-11 |
Last Update Date | 2025-06-26 |