| NPI | 1295484988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM MD2026-0490) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A188398) |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2026-06-29 |