NPI | 1144783309 |
---|---|
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: IL 125.074870) |
Enumeration Date | 2019-04-12 |
Last Update Date | 2025-05-23 |