| NPI | 1366731754 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R1989) | 
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: IL 036134076) | 
| 208M00000X Hospitalist (Licence: IL 36134076) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-06 | 
| Last Update Date | 2018-03-23 |