| NPI | 1902268667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX S1828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A178338) |
| 207R00000X Internal Medicine (Licence: TX S1828) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A178338) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX S1828) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A178338) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX S1828) | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2024-08-05 |