| NPI | 1376204669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A197556) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208D00000X General Practice (Licence: CA A197556) | |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2024-11-20 |