| NPI | 1447410485 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: LA MD.203931) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208M00000X Hospitalist (Licence: LA MD.203931) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2015-07-20 |