NPI | 1336889179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX U7421) |
Enumeration Date | 2022-03-30 |
Last Update Date | 2025-05-16 |