| NPI | 1083032411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL OS14236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO4209) |
| 207R00000X Internal Medicine (Licence: FL OS14236) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL OS14236) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2021-04-13 |