NPI | 1073136651 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OK 38245) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 38245) | |
208600000X Surgery (Licence: OK 38245) | |
Enumeration Date | 2020-05-18 |
Last Update Date | 2025-06-04 |