| NPI | 1912149790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD177588) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 265576) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2016-08-23 |