NPI | 1578818639 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD454637) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: PA MD454637) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R73194) | |
Enumeration Date | 2012-07-16 |
Last Update Date | 2020-08-31 |