| NPI | 1194103085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0102205923) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116032549) |
| 207R00000X Internal Medicine (Licence: PA OS018886) | |
| 207R00000X Internal Medicine (Licence: VA 0102205923) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0102205923) | |
| 208M00000X Hospitalist (Licence: VA 0102205923) | |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2022-08-17 |