NPI | 1043455215 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IA 42015) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207RC0200X Internal Medicine Critical Care Medicine (Licence: IA 42015) | |
Enumeration Date | 2008-12-02 |
Last Update Date | 2014-10-15 |