NPI | 1457880460 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: IL 036.156048) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD470387) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT213491) | |
Enumeration Date | 2017-06-05 |
Last Update Date | 2023-04-11 |