NPI | 1881040483 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX S2678) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207R00000X Internal Medicine (Licence: TX S2678) | |
207R00000X Internal Medicine (Licence: FL ME168667) | |
Enumeration Date | 2016-05-12 |
Last Update Date | 2024-10-21 |