NPI | 1457845828 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 70487) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301114996) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 31342) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MN 70487) | |
Enumeration Date | 2018-06-19 |
Last Update Date | 2023-03-20 |