NPI | 1467033738 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036168901) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 336.125028) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125.077350) | |
Enumeration Date | 2021-04-19 |
Last Update Date | 2024-07-10 |