| NPI | 1427434844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 0101272668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 207R00000X) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: VA 207RI0200X) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 207RI0200X) | |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2023-12-07 |