NPI | 1962994491 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX BP10082502) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11020118A) |
Enumeration Date | 2018-05-31 |
Last Update Date | 2024-05-19 |