| NPI | 1023278967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 070901) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 148977) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 070901) | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2022-01-27 |