NPI | 1386902260 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NM md2016-0142) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2016-0142) |
207R00000X Internal Medicine (Licence: GA 101860) | |
208M00000X Hospitalist (Licence: TX U1055) | |
390200000X Student in an Organized Health Care Education/Training Program | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2016-0142) | |
208M00000X Hospitalist (Licence: GA 101860) | |
Enumeration Date | 2012-04-27 |
Last Update Date | 2024-11-01 |