NPI | 1639856610 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.254846) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.254846) |
Enumeration Date | 2023-06-30 |
Last Update Date | 2023-07-20 |