NPI | 1174662308 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 30512) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2007-01011) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-02-05 |
Last Update Date | 2020-10-26 |