NPI | 1962727438 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD.60371459) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WA MD60371459) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-03-28 |
Last Update Date | 2021-03-29 |