NPI | 1962649426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 003934) |
Enumeration Date | 2009-01-20 |
Last Update Date | 2011-10-10 |