NPI | 1447711262 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA11553000) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA11553000) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-26 |
Last Update Date | 2024-04-10 |