NPI | 1033640222 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL 30080) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2020-06-10 |