| NPI | 1528374303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 006635) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036.132166) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125057500) | |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2019-08-23 |