| NPI | 1770924243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OH 35.147781) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: IN 01088536A) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: MO 2017031726) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2023-06-22 |