NPI | 1225532468 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 73966) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 88682) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-21 |
Last Update Date | 2025-08-22 |