| NPI | 1841816279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN36040) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME177676) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2026-01-27 |