NPI | 1023295300 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ND 16013) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA08520900) |
207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301100644) | |
207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA08520900) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2008-01-29 |
Last Update Date | 2020-10-02 |