NPI | 1588196232 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A169451) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-47740) |
207R00000X Internal Medicine (Licence: MI 4301502839) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-03-31 |
Last Update Date | 2022-08-02 |