NPI | 1093191967 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 294605) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 294605) |
Enumeration Date | 2015-08-03 |
Last Update Date | 2021-03-23 |