NPI | 1982139762 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20137) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101026937) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-28 |
Last Update Date | 2023-11-29 |