NPI | 1467870063 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301105184) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301105184) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-01 |
Last Update Date | 2020-03-31 |