| NPI | 1922530500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: DE C1-0026413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 30643801) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2023-08-28 |