NPI | 1144683798 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX U7199) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 51892) |
207RG0100X Internal Medicine, Gastroenterology (Licence: SC 51892) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-03-31 |
Last Update Date | 2023-12-06 |