NPI | 1194139451 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D86114) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD044904) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2014-06-16 |
Last Update Date | 2018-10-12 |