NPI | 1750623690 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2022-01538) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: GA 076621) |
390200000X Student in an Organized Health Care Education/Training Program | |
207R00000X Internal Medicine (Licence: GA 076621) | |
Enumeration Date | 2013-03-18 |
Last Update Date | 2024-01-18 |