NPI | 1982005450 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 293444) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 64932) |
208M00000X Hospitalist (Licence: PA MD461462) | |
208M00000X Hospitalist (Licence: CT 064932) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-09-15 |
Last Update Date | 2022-09-12 |