NPI | 1821676321 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 77935) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SD 0633) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-03-29 |
Last Update Date | 2024-11-25 |