| NPI | 1063851913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 01080415A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 256151) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2022-10-11 |