NPI | 1659620029 |
---|---|
Other Name | GABE HODGES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036147039) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: TX P8252) | |
Enumeration Date | 2012-08-31 |
Last Update Date | 2020-08-12 |