| 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 |