NPI | 1437507225 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME174360) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03723) |
207RI0200X Internal Medicine, Infectious Disease (Licence: CT 70659) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-06-02 |
Last Update Date | 2025-07-10 |