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 |