| NPI | 1831621168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35.154231) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX T4777) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2025-10-07 |