| NPI | 1295189314 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101277054) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116032495) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD600004554) | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2026-07-16 |