NPI | 1508096470 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: AZ 52150) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 58390) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-07-24 |
Last Update Date | 2020-11-28 |