| NPI | 1841533825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 50237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 50237) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208000000X Pediatrics (Licence: KY 50237) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2023-01-04 |