NPI | 1841645025 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101266410) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: VA 0101266410) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-26 |
Last Update Date | 2023-06-23 |