NPI | 1730384041 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0074430) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0074430) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2007-06-18 |
Last Update Date | 2022-01-26 |