NPI | 1174028914 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: MD H95129) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H95129) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-26 |
Last Update Date | 2024-04-18 |