NPI | 1093134330 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA 143069) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA a143069) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA 143069) | |
Enumeration Date | 2014-04-15 |
Last Update Date | 2022-02-24 |