| NPI | 1184008948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.150819) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: ND 16836) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2024-08-13 |