| NPI | 1538321518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036-159075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101255574) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 51133) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101255574) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101255574) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2022-10-05 |