NPI | 1578767356 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OR MD151177) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: OR MD151177) | |
Enumeration Date | 2007-06-13 |
Last Update Date | 2021-07-23 |