NPI | 1992955751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL OS11181) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL OS11181) |
Enumeration Date | 2008-09-29 |
Last Update Date | 2022-01-13 |