| NPI | 1083877039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX S2851) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101255425) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101255425) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX S2851) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116020395) | |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2024-04-26 |