NPI | 1710368444 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 77682) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 77682) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-06-18 |
Last Update Date | 2021-09-14 |