NPI | 1053167932 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL L.6356R) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
390200000X Student in an Organized Health Care Education/Training Program (Licence: AL L.6356R) | |
Enumeration Date | 2024-04-30 |
Last Update Date | 2024-10-07 |