NPI | 1033613641 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036159719) |
Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: IL 036159719) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-19 |
Last Update Date | 2022-06-12 |