NPI | 1558990721 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TN 68629) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 68629) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2020-04-08 |
Last Update Date | 2025-07-10 |