NPI | 1407239718 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 72765) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A181829) |
207R00000X Internal Medicine (Licence: KS 04-40944) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-07-06 |
Last Update Date | 2025-05-16 |