NPI | 1780294488 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 35942) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OK 35942) |
Enumeration Date | 2020-08-06 |
Last Update Date | 2022-11-16 |