NPI | 1376922930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MO 2024023933) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036.145161) |
208M00000X Hospitalist (Licence: ND 17068) | |
208M00000X Hospitalist (Licence: CT 67571) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-28 |
Last Update Date | 2024-07-05 |