NPI | 1043898273 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: RI LP05391) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI 1043898273) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-30 |
Last Update Date | 2021-11-19 |