NPI | 1528687282 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A20474) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036162183) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-13 |
Last Update Date | 2023-09-07 |