NPI | 1922677038 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A192653) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA A192653) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-06-22 |
Last Update Date | 2024-07-12 |