| NPI | 1164687430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N1167) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207P00000X Emergency Medicine (Licence: TX N1167) | |
| 207R00000X Internal Medicine (Licence: TX N1167) | |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2017-04-03 |