NPI | 1306412994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01091566A) |
Enumeration Date | 2021-06-03 |
Last Update Date | 2024-04-10 |