| NPI | 1205846334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX M9787) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX M9787) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: WA MD 00045127) | |
| 207R00000X Internal Medicine (Licence: TX M9787) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2024-11-06 |