| NPI | 1750778429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX V0648) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX V0648) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036153087) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125066283) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2024-11-07 |