| NPI | 1033430913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA 173853) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101250846) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101250846) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2024-01-21 |