| NPI | 1144780974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS18990) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS18990) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 64224) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 18990) | |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-07-30 |