| NPI | 1831327246 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 4301107790) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MI 4301107790) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT194771) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2023-11-27 |