| NPI | 1578099503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 287599) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 287599) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD 287599) | |
| 208M00000X Hospitalist (Licence: CT 65442) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-06-11 |