| NPI | 1295267870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 85427) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 85427) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208M00000X Hospitalist (Licence: RI MD17137) | |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2025-07-01 |