| NPI | 1821449182 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 100789) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036160634) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036160634) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036160634) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2023-07-27 |