NPI | 1053577411 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C181772) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101249518) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-08-05 |
Last Update Date | 2022-12-09 |