NPI | 1275038770 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VT 042.0016994) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207RI0200X Internal Medicine, Infectious Disease (Licence: NY 323426) | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2023-06-12 |