| NPI | 1417361452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101212476) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 72892) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 78694) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 84731-20) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 290000) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2025-06-06 |