| NPI | 1427501154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA A158299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A158299) |
| 207R00000X Internal Medicine (Licence: CO 0062218) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA A158299) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2022-06-30 |