NPI | 1881246254 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 294632) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MA 294632) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 280732) | |
Enumeration Date | 2019-07-15 |
Last Update Date | 2022-07-27 |