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 |