| NPI | 1992190276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX BP1-0065999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0065999) |
| 207R00000X Internal Medicine (Licence: DC MD046019) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2019-06-19 |