| NPI | 1285190843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 69252) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0096245) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2024-08-12 |