| NPI | 1013413293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T7579) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T7579) |
| 208000000X Pediatrics (Licence: NY 317342-01) | |
| 208000000X Pediatrics (Licence: CA A179333) | |
| 208000000X Pediatrics (Licence: TX T7579) | |
| 208000000X Pediatrics (Licence: KS 04-4667) | |
| 208000000X Pediatrics (Licence: TX T5759) | |
| 208M00000X Hospitalist (Licence: LA 343638) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: NY 317342-01) | |
| 207R00000X Internal Medicine (Licence: CA A179333) | |
| 207R00000X Internal Medicine (Licence: KS 04-4667) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2024-12-23 |