| NPI | 1023756525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036177821) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY R6518) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2026-01-09 |