NPI | 1093005852 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 36045) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 36045) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL 36045) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-04-13 |
Last Update Date | 2020-05-19 |