| NPI | 1992333934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 098132) |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2024-04-01 |