NPI | 1972952109 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 9410031) |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: KS 9410031) |
207RI0200X Internal Medicine, Infectious Disease (Licence: AL 42277) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-06-08 |
Last Update Date | 2023-10-10 |