| NPI | 1922362037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 280155) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 280155) |
| 207R00000X Internal Medicine (Licence: MO 2014014426) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 280155) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 280155) | |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2021-02-01 |