| NPI | 1003312018 |
|---|---|
| Professional Name | JAY J. IDREES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CT 68050) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 68050) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: CT 68050) | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2022-10-04 |