NPI | 1750512778 |
---|---|
Former Name | RENEE M MISTOVICH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 34.010434) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.010434) |
Enumeration Date | 2009-08-07 |
Last Update Date | 2016-10-13 |