NPI | 1902283476 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0072235) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 64706) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-05-04 |
Last Update Date | 2024-01-03 |