| NPI | 1588907083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: NY 284363) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 284363) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 284363) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 284363) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2024-01-05 |