NPI | 1760942874 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 314914) |
Enumeration Date | 2019-03-23 |
Last Update Date | 2024-10-15 |