| NPI | 1215428891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2021-00554) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S3794) |
| 208M00000X Hospitalist (Licence: TX S3794) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2023-08-07 |