| NPI | 1144667239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q5885) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q5885) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2019-0171) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10047489) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2020-09-03 |