| NPI | 1750902607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R780269) |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2023-03-19 |