NPI | 1053794321 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 294731) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 297431) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-07-06 |
Last Update Date | 2022-02-09 |