NPI | 1487000600 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A152386) |
Enumeration Date | 2016-05-05 |
Last Update Date | 2020-05-11 |