| NPI | 1295949980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S3900) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.124210) |
| 208M00000X Hospitalist (Licence: PA MD436964) | |
| 208M00000X Hospitalist (Licence: MO 2008013989) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: PA MD436964) | |
| 207R00000X Internal Medicine (Licence: MO 2008013989) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S3900) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2022-07-19 |