| NPI | 1821376096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME129427) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.018973) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL me129427) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2021-07-02 |