| NPI | 1699460832 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR PG226634) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036.179983) |
| Enumeration Date | 2023-04-05 |
| Last Update Date | 2026-06-01 |