NPI | 1013577915 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX V5964) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4351049579) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-06-13 |
Last Update Date | 2025-06-20 |