NPI | 1053113902 |
---|---|
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: CO TL.0010622) |
Enumeration Date | 2025-03-24 |
Last Update Date | 2025-07-19 |