NPI | 1205271400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 38171) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 267350) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-05-02 |
Last Update Date | 2023-06-29 |