NPI | 1578852976 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: AL 47192) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 47192) |
207R00000X Internal Medicine (Licence: CA A125504) | |
208M00000X Hospitalist (Licence: TX Q9379) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-06 |
Last Update Date | 2023-09-15 |