NPI | 1548654817 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: CO DR.0060133) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 298565-1) |
207R00000X Internal Medicine (Licence: CO DR.0060133) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-03-25 |
Last Update Date | 2024-09-04 |