| NPI | 1790109866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0102204327) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GU EMTL-2022-038) |
| 207R00000X Internal Medicine (Licence: VA 0102204327) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GU DO-0116) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GU EMTL-2022-038) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GU DO-0116) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX U7836) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2024-04-08 |