NPI | 1528589405 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036.152984) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.152984) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 201702114) | |
Enumeration Date | 2017-06-30 |
Last Update Date | 2022-04-15 |