| NPI | 1225276488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 250693) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 250693) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 250693) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME126865) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 250693) | |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2018-02-20 |