NPI | 1124470398 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL MD.49075) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME139564) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-07-12 |
Last Update Date | 2024-10-08 |