| NPI | 1326319245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 68003-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 57840) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2020-09-14 |