| NPI | 1437405388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D79299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0079299) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D79299) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: SD 0248) | |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2022-06-15 |