| NPI | 1366690844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MO 2012034336) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 53446) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 104898) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2021-11-12 |