| NPI | 1326429127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10062615) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX BP10062615) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX BP10062615) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: AL 41766) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2023-06-29 |