| NPI | 1386902260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NM MD2016-0142) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2016-0142) |
| 208M00000X Hospitalist (Licence: TX U1055) | |
| 208M00000X Hospitalist (Licence: GA 101860) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2016-0142) | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2024-10-09 |