NPI | 1750968665 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO DR.0069603) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207Q00000X Family Medicine (Licence: CO DR.0069603) | |
Enumeration Date | 2021-03-26 |
Last Update Date | 2023-12-11 |