| NPI | 1487944096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036.160773) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 8134352-1205) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: UT 8134352-1205) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036.160773) | |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2024-08-22 |