NPI | 1326223801 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD00049180) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 046085) |
Enumeration Date | 2008-01-03 |
Last Update Date | 2008-03-11 |