NPI | 1447710595 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A186456) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.144756) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-24 |
Last Update Date | 2023-05-30 |