NPI | 1932804374 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL89733) |
Enumeration Date | 2023-04-04 |
Last Update Date | 2023-07-11 |