| NPI | 1629396338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD60622380) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301103664) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301103664) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2021-06-17 |