| NPI | 1942737697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NJ 25MA1085990) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WV 33603) |
| 207R00000X Internal Medicine (Licence: PA MD468574) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2024-04-26 |