NPI | 1558680553 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: VA 0101259890) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208M00000X Hospitalist (Licence: OR MD160616) | |
Enumeration Date | 2010-06-01 |
Last Update Date | 2016-09-06 |