NPI | 1740740315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME DO3911) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 292791) |
390200000X Student in an Organized Health Care Education/Training Program | |
207R00000X Internal Medicine (Licence: MA 292791) | |
Enumeration Date | 2019-03-21 |
Last Update Date | 2024-09-16 |