NPI | 1245683275 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2020-00436) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 218700) |
Enumeration Date | 2016-07-14 |
Last Update Date | 2020-11-18 |