| NPI | 1033377221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2016-0655) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 31493) |
| 207R00000X Internal Medicine (Licence: MI 4301090551) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AL MD.31493) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-25 |
| Last Update Date | 2024-10-29 |