NPI | 1659834364 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI LP04720) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP61275030) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-09 |
Last Update Date | 2024-06-19 |