NPI | 1437562352 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036142260) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 260395) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2018-06-19 |