| NPI | 1821675604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A201145) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ID M-17867) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2025-08-10 |