NPI | 1720577992 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2023-00901) |
Additional Taxonomies | 207ZN0500X Pathology, Neuropathology (Licence: NY 309120) |
207Q00000X Family Medicine (Licence: NY 309120) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-05-03 |
Last Update Date | 2023-11-01 |