| NPI | 1306227558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: LA 328447) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 328447) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 21677) | |
| Enumeration Date | 2015-06-13 |
| Last Update Date | 2021-08-28 |