NPI | 1154856052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: AZ 65874) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2017-04-27 |
Last Update Date | 2022-08-02 |