| NPI | 1699116673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 35795) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 284909) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2023-06-29 |