NPI | 1306337837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OK 39326) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 39326) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-05-21 |
Last Update Date | 2024-03-20 |