| NPI | 1396942223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D90498) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 23140) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WV 23140) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2021-07-19 |