NPI | 1295154821 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 61463) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 061463) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 286755) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-10 |
Last Update Date | 2023-03-21 |