| NPI | 1851755227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S1832) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S1832) |
| 207R00000X Internal Medicine (Licence: CT 63688) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2020-07-31 |