NPI | 1679033922 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301508660) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01087754A) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-22 |
Last Update Date | 2023-09-13 |