NPI | 1205679305 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2024022535) |
Enumeration Date | 2024-06-17 |
Last Update Date | 2025-07-16 |