NPI | 1679967657 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME136598) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 297686) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME136598) | |
390200000X Student in an Organized Health Care Education/Training Program | |
207R00000X Internal Medicine (Licence: FL ME136598) | |
Enumeration Date | 2015-03-26 |
Last Update Date | 2022-08-11 |