NPI | 1437716479 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301512273) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019016842) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-05-24 |
Last Update Date | 2024-07-18 |