NPI | 1316213895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME122870) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME122870) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-03-28 |
Last Update Date | 2025-02-13 |