NPI | 1053763706 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M14690) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL M14690) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-07-06 |
Last Update Date | 2023-03-28 |