NPI | 1881940476 |
---|---|
Other Name | N/A N/A |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301113473) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301113473) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301113473) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP2-0037558) | |
Enumeration Date | 2012-08-01 |
Last Update Date | 2019-01-30 |