NPI | 1295351476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2023-1121) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351046140) |
Enumeration Date | 2020-06-23 |
Last Update Date | 2024-11-15 |