| NPI | 1891953378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 88584) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX bp10038027) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME128391) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME128391) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 27267) | |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2021-10-13 |