| NPI | 1407588817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ R80915) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI G235356135366) |
| Enumeration Date | 2022-06-26 |
| Last Update Date | 2024-04-15 |