NPI | 1467036749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 1019518) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1019518) |
207R00000X Internal Medicine (Licence: PA MT223284) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 1019518) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-05-12 |
Last Update Date | 2024-06-20 |