NPI | 1184851073 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NE 25967) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 25967) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: NE 25967) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-06-17 |
Last Update Date | 2022-10-11 |