NPI | 1881055325 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CT 58547) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 64780) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-11 |
Last Update Date | 2023-07-05 |