NPI | 1669815247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 69491-20) |
Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: RI LP03680) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-12 |
Last Update Date | 2024-08-05 |