| NPI | 1851719728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: RTL23-1274) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD044989) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2025-02-27 |