NPI | 1609219864 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX S2363) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2016028067) |
208M00000X Hospitalist (Licence: MO 2016028067) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-08 |
Last Update Date | 2022-12-08 |