NPI | 1770974826 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: DC MD046464) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301108169) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-02-11 |
Last Update Date | 2018-10-22 |