| NPI | 1730534165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 105172) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 291662) |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX U2153) | |
| 208M00000X Hospitalist (Licence: TX U2153) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2025-06-24 |