| NPI | 1962732412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: DE C1-0010046) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: DE C1-0010046) | |
| 207R00000X Internal Medicine (Licence: DE C1-0010046) | |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2017-07-26 |