| NPI | 1073871372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 054400) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 54400) |
| 208M00000X Hospitalist (Licence: CT 54400) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 65537) | |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2021-09-28 |