NPI | 1598348435 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02007889A) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 5151014998) |
Enumeration Date | 2021-04-29 |
Last Update Date | 2024-09-26 |