| NPI | 1821452616 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.135589) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2021-04-07 |