NPI | 1487231247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A193437) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GU TLL-2023-007) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-26 |
Last Update Date | 2024-07-03 |