| NPI | 1346987211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 39505) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 39505) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: OK 39505) | |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2026-08-04 |