NPI | 1396163408 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5941) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
208M00000X Hospitalist (Licence: MO 2017028533) | |
Enumeration Date | 2014-04-04 |
Last Update Date | 2023-04-18 |