| NPI | 1245411446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.203766) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: LA MD.203766) | |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2016-09-17 |