| NPI | 1770902587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY C1335) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 75867) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 3120-320) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 036148372) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 70473) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2024-03-15 |