NPI | 1942592258 |
---|---|
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: OH PATE4393848) |
Enumeration Date | 2011-05-04 |
Last Update Date | 2021-05-24 |