| NPI | 1194872051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 44698) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 44698) |
| 207R00000X Internal Medicine (Licence: TN 44698) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 44698) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-02-21 |