NPI | 1548606924 |
---|---|
Other Name | PAT VIJITAKULA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.128916) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2013-05-13 |
Last Update Date | 2017-08-16 |