NPI | 1275093981 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AZ R3957) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.073545) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-20 |
Last Update Date | 2023-06-26 |