NPI | 1144608662 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 286074) |
Enumeration Date | 2015-05-16 |
Last Update Date | 2020-11-16 |