| NPI | 1194530089 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116040721) |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-06-03 |