NPI | 1902280415 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.142371) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.142371) | |
207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35.142371) | |
Enumeration Date | 2015-07-14 |
Last Update Date | 2022-08-08 |