NPI | 1194284125 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 311103) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 311103) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-19 |
Last Update Date | 2022-03-31 |