NPI | 1699328567 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA a180321) |
Enumeration Date | 2019-07-19 |
Last Update Date | 2024-08-20 |