NPI | 1811201361 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME126023) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01080077) |
207R00000X Internal Medicine (Licence: NE HI-MD17345-A) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: ID MC-1958) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2010-07-27 |
Last Update Date | 2023-04-11 |