NPI | 1780131631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: TN 68622) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 202101162) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-09-08 |
Last Update Date | 2023-09-17 |