NPI | 1871120998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A21083) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207P00000X Emergency Medicine (Licence: CA 20A21083) | |
Enumeration Date | 2020-03-26 |
Last Update Date | 2024-10-17 |