| NPI | 1225692064 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036-157849) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036157849) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2024-11-06 |