| NPI | 1841484748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 59727) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08977400) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 59727) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125052882) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI LP03736) | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2021-01-05 |