| NPI | 1699354092 |
|---|---|
| Former Name | JACOB BLAIR HUSTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX U9970) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U9970) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2024-05-22 |