NPI | 1558892588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD480688) |
Enumeration Date | 2017-03-22 |
Last Update Date | 2023-05-09 |