NPI | 1487280525 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0102207738) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0102207738) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-03-20 |
Last Update Date | 2024-05-19 |