| NPI | 1114306537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: WI 73854-20) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: WI 73854) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2022-07-19 |