| NPI | 1932789229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0106273) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: IN 11021560A) | |
| Enumeration Date | 2021-04-10 |
| Last Update Date | 2026-05-09 |