NPI | 1538722343 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 35152) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 070795) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-17 |
Last Update Date | 2025-06-19 |