| NPI | 1851448716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: VA 0101256499) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 44467) |
| 207R00000X Internal Medicine (Licence: MD D0081763) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101256499) | |
| 208M00000X Hospitalist (Licence: TN 44467) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2025-08-07 |