| NPI | 1093078347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD463569) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200825) |
| 207R00000X Internal Medicine (Licence: LA 334500) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 334500) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 334500) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2023-08-25 |