| NPI | 1790909950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AR E6594) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AR E6594) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2021-03-02 |