| NPI | 1801069489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 049598) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 49598) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2022-09-29 |