NPI | 1548847015 |
---|---|
Former Name | RYAN CHRISTOPHER SMITH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036170233) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036170233) |
208M00000X Hospitalist (Licence: IN 01096883A) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 390200000X) | |
Enumeration Date | 2021-03-29 |
Last Update Date | 2025-07-10 |