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 |