NPI | 1548768450 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101267419) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: VA 0101267419) |
390200000X Student in an Organized Health Care Education/Training Program | |
207R00000X Internal Medicine (Licence: NC 0101267419) | |
Enumeration Date | 2018-01-25 |
Last Update Date | 2023-08-24 |