| NPI | 1437991965 |
|---|---|
| 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: KS 94-11791) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2026-03-25 |