NPI | 1932620267 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2020009408) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020009408) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-06-27 |
Last Update Date | 2020-06-02 |