| NPI | 1497160691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-11354) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.143588) | |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2024-07-02 |