NPI | 1720437908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NV DO2686) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO2686) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO5016) | |
Enumeration Date | 2016-06-08 |
Last Update Date | 2020-06-01 |