| NPI | 1548524523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 299810) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.146043) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2019-07-09 |