| NPI | 1154769545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AL 40964) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101260427) |
| 207R00000X Internal Medicine (Licence: AL 40964) | |
| 208M00000X Hospitalist (Licence: VA 0101260427) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2020-12-17 |