NPI | 1902172083 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 035137243) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-137243) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-03-22 |
Last Update Date | 2021-04-27 |