| NPI | 1982193645 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX T6512) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2023-08-10 |