| NPI | 1093236580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AL MD.46417) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2020-0463) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10060414) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2023-07-25 |