| NPI | 1700192416 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U1756) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: AR E7627) |
| 208M00000X Hospitalist (Licence: NV 17216) | |
| 208M00000X Hospitalist (Licence: TX U1756) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2024-09-19 |