NPI | 1255793444 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: KY 58125) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME142082) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-25 |
Last Update Date | 2024-10-31 |