| NPI | 1023422870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AL 41419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19185) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: FL 145583) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 31254-R) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2020-09-10 |