NPI | 1699087007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NE 28471) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 39905) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-07-14 |
Last Update Date | 2017-04-04 |