NPI | 1841485695 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 242004.) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 231041) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 242004.) | |
Enumeration Date | 2007-09-13 |
Last Update Date | 2013-02-12 |