| NPI | 1649438193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX Q4061) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: DC MD040126) |
| 208M00000X Hospitalist (Licence: VA 0101247909) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2023-09-23 |