NPI | 1245673375 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA a142824) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60634682) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-08 |
Last Update Date | 2020-01-28 |