NPI | 1144432444 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 62978) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH NONE) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ 42501) | |
Enumeration Date | 2007-05-07 |
Last Update Date | 2014-09-30 |