| NPI | 1730542630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0094289) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: VA 0101263193) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0094289) | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2022-07-19 |