NPI | 1780972497 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX R0119) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R0119) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TX R0119) | |
Enumeration Date | 2011-07-14 |
Last Update Date | 2020-08-11 |