NPI | 1437853777 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR.0074300) |
Enumeration Date | 2023-03-29 |
Last Update Date | 2025-06-24 |