NPI | 1053972406 |
---|---|
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: TX BP10066666) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY NA) | |
Enumeration Date | 2019-06-26 |
Last Update Date | 2022-12-20 |