NPI | 1437670338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OR MD215326) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 313363) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-06-29 |
Last Update Date | 2023-07-07 |