NPI | 1669995841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 307557) |
Enumeration Date | 2017-07-19 |
Last Update Date | 2024-07-10 |