NPI | 1508008566 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-39875) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA 39875) |
208M00000X Hospitalist (Licence: IA Pending) | |
Enumeration Date | 2009-04-06 |
Last Update Date | 2016-10-07 |