NPI | 1245625300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD16768) |
Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: RI MD16768) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-05 |
Last Update Date | 2023-01-03 |