NPI | 1811473507 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: LA 343211) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 64441) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: LA 343211) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-07-16 |
Last Update Date | 2024-09-04 |