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 |