NPI | 1699354944 |
---|---|
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: IL 125078060) |
Enumeration Date | 2021-04-05 |
Last Update Date | 2022-06-24 |