NPI | 1548402423 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME149240) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 269602) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-03-24 |
Last Update Date | 2021-06-30 |