| NPI | 1326477233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 66819-20) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 66819-20) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT204375) | |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2023-02-24 |