| NPI | 1447693585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX R1760) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R1760) |
| 207Q00000X Family Medicine (Licence: NM MD2016-0654) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2021-02-23 |