NPI | 1548764509 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 37931) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 37931) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-22 |
Last Update Date | 2021-05-31 |