| NPI | 1285862144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q3149) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX Q3149) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT195059) | |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2023-04-25 |