| NPI | 1023508355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ID M-17810) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2024-05-06 |