NPI | 1811255268 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 81127) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 5790) |
390200000X Student in an Organized Health Care Education/Training Program | |
207R00000X Internal Medicine (Licence: OK 5790) | |
Enumeration Date | 2012-04-23 |
Last Update Date | 2023-05-10 |