| NPI | 1497983464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q4551) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP1-0034030) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q4551) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2017-10-26 |