NPI | 1568622686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: IL 036146320) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 03614632) |
207R00000X Internal Medicine (Licence: MI 4301092393) | |
207R00000X Internal Medicine (Licence: IL 036146320) | |
208M00000X Hospitalist (Licence: IL 03614632) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301092393) | |
Enumeration Date | 2008-06-12 |
Last Update Date | 2023-06-21 |