NPI | 1093344327 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 323842) |
Enumeration Date | 2020-04-07 |
Last Update Date | 2025-05-15 |