NPI | 1285383364 |
---|---|
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: OH 57.252651) |
208000000X Pediatrics (Licence: OH 57.252651) | |
Enumeration Date | 2022-03-23 |
Last Update Date | 2022-06-06 |