| NPI | 1598916215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D75862) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: MN 52088) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 52088) | |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2016-07-25 |