NPI | 1124479993 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NJ 25MB11071800) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-06-23 |
Last Update Date | 2024-10-09 |