| NPI | 1710220314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME138395) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R2228) |
| 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX R2228) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2019-04-01 |