| NPI | 1013145887 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 59991)  | 
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101251331)  | 
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: VA 0101251331)  | |
| 207R00000X Internal Medicine (Licence: DC MD041448)  | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 59991)  | |
| 207R00000X Internal Medicine (Licence: MD D79362)  | |
| Enumeration Date | 2009-06-30 | 
| Last Update Date | 2024-03-07 |