NPI | 1346683240 |
---|---|
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: NH 17584) |
Enumeration Date | 2013-04-10 |
Last Update Date | 2017-08-08 |