NPI | 1134514995 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A143876) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A143876) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-30 |
Last Update Date | 2021-11-29 |