| NPI | 1265066419 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T2788) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T2788) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10070778) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX T2788) | |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2026-08-06 |