| NPI | 1033608765 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME162228) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 92836) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2023-10-03 |