| NPI | 1447786595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX U3041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101270109) |
| 207R00000X Internal Medicine (Licence: MI 4301112299) | |
| 207R00000X Internal Medicine (Licence: IA MD-49700) | |
| 208M00000X Hospitalist (Licence: IA MD-49700) | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-06-30 |