NPI | 1134864960 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125080407) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125080407) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-05-05 |
Last Update Date | 2023-06-27 |