| NPI | 1326497017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S0950) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301109557) |
| 208M00000X Hospitalist (Licence: TX S0950) | |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2021-10-05 |