| NPI | 1073977997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301511933) |
| 207R00000X Internal Medicine (Licence: MI 4301511933) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301511933) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 298552) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 298552) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301511933) | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2024-06-24 |