| NPI | 1962667725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P8965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-093016) |
| 208M00000X Hospitalist (Licence: OH 35.093016) | |
| 208M00000X Hospitalist (Licence: TX P8965) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.011250) | |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2022-03-24 |