NPI | 1194348037 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MT227769) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 284001) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MA 972) | |
Enumeration Date | 2020-05-27 |
Last Update Date | 2024-10-28 |