NPI | 1811484728 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61539589) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A166401) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD61539589) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-16 |
Last Update Date | 2024-07-11 |