NPI | 1982997433 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35126880) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 30518) |
207R00000X Internal Medicine (Licence: OH 35.126880) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-05-17 |
Last Update Date | 2017-06-06 |