NPI | 1831694660 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CA A165392) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 75788) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: CO DR.0074505) | |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: WA MD61651857) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-25 |
Last Update Date | 2025-02-13 |