NPI | 1760945356 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.161867) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-3746) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-04-10 |
Last Update Date | 2022-09-29 |