| NPI | 1174985634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T6600) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036149608) |
| 208M00000X Hospitalist (Licence: IL 036.149608) | |
| 208M00000X Hospitalist (Licence: TX T6600) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2023-10-12 |