NPI | 1467955286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A164606) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A164606) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-18 |
Last Update Date | 2024-07-16 |