NPI | 1326493099 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E-14864) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-14864) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-29 |
Last Update Date | 2022-11-01 |