NPI | 1396034369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA md458050) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A130622) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-03-30 |
Last Update Date | 2020-06-22 |