NPI | 1558755587 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036160015) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036160015) |
207R00000X Internal Medicine (Licence: IL 036160015) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-27 |
Last Update Date | 2024-11-04 |