| NPI | 1104116417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL MD.31978) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL MD.31978) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL 31978) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2024-02-01 |