| NPI | 1336324896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101251575) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2009016606) |
| 207R00000X Internal Medicine (Licence: VA 0101251575) | |
| 207R00000X Internal Medicine (Licence: TN 46374) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101251575) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 46374) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT187604) | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2023-11-30 |