| 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 |