| NPI | 1841485695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 242004.) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 231041) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 242004.) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2013-02-12 |