NPI | 1932661105 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A177632) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 22613) |
208M00000X Hospitalist (Licence: NV 22613) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-04 |
Last Update Date | 2024-10-24 |