| NPI | 1477012755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 83692) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: TX T7534) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 3013682) | |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2026-09-10 |