| NPI | 1689824443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX N7175) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N7175) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX N7175) | |
| 207RN0300X Internal Medicine, Nephrology (Licence: TX N7175) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2022-05-10 |