| NPI | 1578069498 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MT 126653) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: SC 83489) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2023-07-01 |