NPI | 1750542015 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL me151117) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX 45614) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-06-19 |
Last Update Date | 2021-07-01 |