| NPI | 1316301005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD046869) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD046869) |
| 208M00000X Hospitalist (Licence: DC MD046869) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2023-06-12 |