| NPI | 1023436730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0085619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0058145) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2021-0218) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2024-10-30 |