| NPI | 1063755106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 9189181-1205) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: UT 9189181-1205) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: UT 9189181-1205) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: UT 9189181-1205) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2024-09-17 |