| NPI | 1538369434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q1479) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 36.095321) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301090115) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX Q1479) | |
| 207R00000X Internal Medicine (Licence: TX Q1479) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2015-02-25 |