NPI | 1003557745 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A188177) |
207RH0003X Internal Medicine, Hematology & Oncology (Licence: CA A188177) | |
Enumeration Date | 2022-04-06 |
Last Update Date | 2025-04-02 |