NPI | 1952693079 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101022492) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 275948) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 63116) | |
Enumeration Date | 2011-05-08 |
Last Update Date | 2021-12-17 |