| NPI | 1780996595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 55714) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 55714) |
| 208M00000X Hospitalist (Licence: CT 55714) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN14608) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2025-01-03 |