NPI | 1912311994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 30771) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 30771) | |
Enumeration Date | 2014-06-17 |
Last Update Date | 2023-04-18 |