| NPI | 1023308640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0081038) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0081038) |
| 207R00000X Internal Medicine (Licence: DE c7-0004863) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2018-04-24 |