NPI | 1326625286 |
---|---|
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: FL ME166704) |
Enumeration Date | 2021-03-26 |
Last Update Date | 2024-04-17 |