NPI | 1427613298 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MA 1018722) |
Enumeration Date | 2019-05-07 |
Last Update Date | 2024-10-31 |