| NPI | 1144780644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL 151135) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T6239) |
| 207P00000X Emergency Medicine (Licence: FL 151135) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2024-06-06 |