NPI | 1619437126 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX T8658) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T8658) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-21 |
Last Update Date | 2022-08-16 |