NPI | 1588035976 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S5274) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: TX S5274) |
390200000X Student in an Organized Health Care Education/Training Program | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10058725) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TX S5274) | |
Enumeration Date | 2015-10-12 |
Last Update Date | 2020-07-01 |