| NPI | 1346535226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 88879) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 271412) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2021-09-09 |