NPI | 1093465023 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 011480) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 0000000) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NM 1093465023) | |
Enumeration Date | 2022-03-24 |
Last Update Date | 2025-05-02 |