NPI | 1346829447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 341705) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V1760) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-06 |
Last Update Date | 2024-11-04 |