| NPI | 1821578451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 314194-01) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 314194) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2022-06-15 |