NPI | 1639424435 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036138228) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01076403B) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125061384) | |
207RC0200X Internal Medicine Critical Care Medicine (Licence: IL 036138228) | |
Enumeration Date | 2012-07-17 |
Last Update Date | 2024-04-04 |