| NPI | 1912467838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10094730) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: PR 22297) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-06-27 |