| NPI | 1952510091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U0144) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C167902) |
| 207R00000X Internal Medicine (Licence: MD D0066441) | |
| 208M00000X Hospitalist (Licence: CA C167902) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MD P17602) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-01-08 |