NPI | 1790289031 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0101282095) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 92498) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-21 |
Last Update Date | 2024-06-23 |