NPI | 1639545528 |
---|---|
Other Name | CHRIS DUBUQUE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI DOS-1992) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR 177803) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-08-14 |
Last Update Date | 2021-08-09 |