NPI | 1295189314 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD600004554) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101277054) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116032495) | |
Enumeration Date | 2016-04-14 |
Last Update Date | 2025-08-14 |