| NPI | 1942664370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL MD.38741) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: AL 38741) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 71697) | |
| 208M00000X Hospitalist (Licence: AL MD.38741) | |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2024-04-29 |