| NPI | 1770973489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: UT 11262324-1205) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: UT 11262324-1205) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 268049) | |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2022-06-15 |