NPI | 1093108797 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0102205464) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102205464) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-05 |
Last Update Date | 2023-08-22 |