NPI | 1841818655 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 33124) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2023-00297) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 262606) | |
Enumeration Date | 2020-07-08 |
Last Update Date | 2024-07-22 |