| NPI | 1922836592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 37602) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17225I) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-07-24 |
| Last Update Date | 2025-07-10 |