NPI | 1710164264 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A125910) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A125910) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-01-28 |
Last Update Date | 2021-01-08 |