NPI | 1912420803 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 16379) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND RL14604) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-07-21 |
Last Update Date | 2021-04-16 |