| NPI | 1942444831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME124157) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0076623) |
| 207R00000X Internal Medicine (Licence: MD d0076623) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0076623) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2021-06-24 |