| NPI | 1306474358 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX V4183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0097874) |
| 207R00000X Internal Medicine (Licence: TX V4183) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-10-14 |