NPI | 1497139810 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: SD 12213) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 69470) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-07-15 |
Last Update Date | 2021-02-16 |