| 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 |