NPI | 1790198679 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GU M-2265) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GU EMTL-2021-008) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: GU M-2265) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: GU EMTL-2021-008) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-09 |
Last Update Date | 2021-07-19 |