| NPI | 1326808254 |
|---|---|
| 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: CA 24780) |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2026-07-29 |