| NPI | 1306334974 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID o-1500) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP61260442) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-28 |
| Last Update Date | 2025-07-09 |