NPI | 1992425896 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: CA 20A21809) |
Additional Taxonomies | 208D00000X General Practice (Licence: CA 20A21809) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-08-31 |
Last Update Date | 2025-06-01 |