NPI | 1679848766 |
---|---|
Other Name | JIM MICHAEL GARDNER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL OS15445) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02004702A) |
208M00000X Hospitalist (Licence: IN 02004702A) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-03-21 |
Last Update Date | 2018-07-26 |