NPI | 1982348173 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A200209) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A200209) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-04-24 |
Last Update Date | 2025-08-12 |