| NPI | 1417363466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 10301) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 94296) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2025-07-23 |