NPI | 1245790815 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.073720) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036159287) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-20 |
Last Update Date | 2025-06-09 |