| NPI | 1174817092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R8666) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101254645) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101254645) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101254645) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R8666) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2024-05-01 |