| NPI | 1174967970 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R9833) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD044553) |
| 207R00000X Internal Medicine (Licence: TX R9833) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX BP10059140) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2024-09-19 |