NPI | 1528444379 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: DE C1-0023832) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OK 33839) | |
Enumeration Date | 2015-08-04 |
Last Update Date | 2020-09-14 |