NPI | 1518370030 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101270408) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-143530) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-03 |
Last Update Date | 2022-06-09 |