NPI | 1548721715 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 174400000X Specialist (Licence: NM 2024-0339) |
207RI0200X Internal Medicine, Infectious Disease (Licence: NM 2024-0339) | |
Enumeration Date | 2019-03-28 |
Last Update Date | 2024-05-16 |