| NPI | 1699152918 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: SC 88802) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 84182) |
| 208000000X Pediatrics (Licence: TX R4445) | |
| 208M00000X Hospitalist (Licence: GA 84182) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2023-11-17 |