| NPI | 1902223092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA 20A14345) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: CA 20A14345) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA 20A14345) | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2021-05-03 |