| NPI | 1194309070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RI LP05234) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD484057) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2024-06-20 |