| NPI | 1508008566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-39875) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IA 39875) |
| 208M00000X Hospitalist (Licence: IA Pending) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2016-10-07 |