NPI | 1982340386 |
---|---|
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: OH 58.034070) |
Enumeration Date | 2022-05-09 |
Last Update Date | 2024-06-22 |