NPI | 1831859479 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: IL 125083129) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY P113517) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10085272) | |
Enumeration Date | 2021-12-22 |
Last Update Date | 2024-06-25 |