| NPI | 1598324337 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 82730) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI LP06227) | |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2024-07-01 |