| NPI | 1891131652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS018526) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 86795) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 83526) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 99102569A) | |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2024-04-17 |