| NPI | 1841584158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A162105) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 283613) |
| 207R00000X Internal Medicine (Licence: PA MT199334) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 283613) | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2021-12-17 |