| NPI | 1174882880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T1648) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 283390) |
| 207R00000X Internal Medicine (Licence: PA MD457380) | |
| 208M00000X Hospitalist (Licence: PA MD457380) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2022-02-23 |