| NPI | 1912295445 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: CA A162848) |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: MD D0081370) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: MD D81370) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2024-05-22 |