NPI | 1962732412 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: DE C1-0010046) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: DE C1-0010046) | |
207R00000X Internal Medicine (Licence: DE C1-0010046) | |
Enumeration Date | 2010-01-06 |
Last Update Date | 2017-07-26 |