| NPI | 1861755241 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A135646) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 135646) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 35073) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 35073) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2020-09-08 |