| NPI | 1407267248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 66611) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 28610) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: MN 66611) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2020-10-07 |