NPI | 1821589821 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036.156907) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX S4978) |
208M00000X Hospitalist (Licence: TX S4978) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-05-24 |
Last Update Date | 2021-07-10 |