NPI | 1871741710 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60234894) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD60234894) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-09-04 |
Last Update Date | 2021-03-29 |