| NPI | 1215171285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 59064) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 04-43672) |
| 208M00000X Hospitalist (Licence: KS 04-43672) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 26460) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 72612-20) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2024-05-03 |