NPI | 1841787611 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID O-2015) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036156716) |
207R00000X Internal Medicine (Licence: AZ 10439T) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-04-17 |
Last Update Date | 2025-08-11 |