| NPI | 1477758399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 52230) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WV 24648) |
| 207ZC0006X Pathology, Clinical Pathology (Licence: MN 52230) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-10-27 |