| NPI | 1710369749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101266663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101266663) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101266663) | |
| 208M00000X Hospitalist (Licence: NY 294493) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2023-05-04 |