NPI | 1073005880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U9928) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 326892) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX U9928) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-06-06 |
Last Update Date | 2024-06-04 |