| NPI | 1932669355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD488740) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD488740) | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-02-28 |