| NPI | 1760903330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: GA 93159) |
| Enumeration Date | 2017-07-04 |
| Last Update Date | 2023-05-18 |