NPI | 1730819210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 36026) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 36026) |
Enumeration Date | 2022-06-16 |
Last Update Date | 2024-07-24 |