NPI | 1144451840 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01072453A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60455391) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-07-30 |
Last Update Date | 2021-09-14 |