NPI | 1700270360 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D87400) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263189) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-22 |
Last Update Date | 2022-10-05 |