NPI | 1962810937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 84304) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.134359) |
208M00000X Hospitalist (Licence: OH 35.134359) | |
208M00000X Hospitalist (Licence: WV 28006) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-07-23 |
Last Update Date | 2021-05-05 |