NPI | 1336312602 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN 46799) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000046799) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-04-08 |
Last Update Date | 2024-02-08 |