| NPI | 1740785906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S4649) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.016747.mil) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-06-25 |