NPI | 1154883098 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A19993) |
Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA 20A19993) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-01 |
Last Update Date | 2022-11-30 |