NPI | 1548689870 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036141321) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.141321) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-04-15 |
Last Update Date | 2021-11-29 |