| NPI | 1275055600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX U9998) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2021-00825) |
| 207R00000X Internal Medicine (Licence: IL 125069812) | |
| 208M00000X Hospitalist (Licence: MS 27832) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2024-08-29 |