| NPI | 1730324740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N7442) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A123809) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2024-03-06 |