| NPI | 1669603031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q7996) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD446105) |
| 207R00000X Internal Medicine (Licence: TX Q7996) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT195212) | |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2021-03-09 |