| NPI | 1104222603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD210002923) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35135704) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0092556) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 57.024138) | |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2025-04-13 |