| NPI | 1932593175 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MN 71104) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MN 71104) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 63633) | |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2023-04-12 |