| NPI | 1376076893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX U4773) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM MD2022-0160) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2025-03-21 |