NPI | 1083877732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036132661) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125058744) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-07-02 |
Last Update Date | 2019-11-15 |