NPI | 1811492358 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036156057) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 336.115539) |
208M00000X Hospitalist (Licence: IL 036156057) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2023-05-19 |