| NPI | 1437425675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R8651) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R8651) |
| 207Q00000X Family Medicine (Licence: IA MD-42672) | |
| 208M00000X Hospitalist (Licence: IL 036162012) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2024-02-09 |