NPI | 1831694447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD25722) |
Additional Taxonomies | 208000000X Pediatrics (Licence: ME MD25722) |
208M00000X Hospitalist (Licence: ME MD25722) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-26 |
Last Update Date | 2022-08-02 |