NPI | 1770061467 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD208526) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD208526) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG203698) | |
Enumeration Date | 2018-08-03 |
Last Update Date | 2022-01-27 |