| NPI | 1679732549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q0003) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2011014212) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2024-06-17 |