| NPI | 1427248970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P3763) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P3763) |
| 208M00000X Hospitalist (Licence: TX P3763) | |
| 208M00000X Hospitalist (Licence: LA MD.203379) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2024-05-03 |