NPI | 1700463007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO DR.0071024) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL0008654) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-24 |
Last Update Date | 2024-07-05 |