| NPI | 1033347695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX T1181) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101249078) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: IN 01079498A) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: VA 0101249078) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2024-05-03 |