NPI | 1548624497 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME161534) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ 25MA10577200) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-04-07 |
Last Update Date | 2023-08-16 |