NPI | 1730569336 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R6534) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11018333A) |
Enumeration Date | 2015-06-09 |
Last Update Date | 2019-01-10 |