| NPI | 1326613936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 7692) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 7692) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 7692) | |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2024-07-16 |