NPI | 1053051391 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC RTL25-0550) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN35368) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2022-04-01 |
Last Update Date | 2025-06-26 |