| NPI | 1437461811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 62532) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098299) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2025-10-23 |