| NPI | 1275975351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 71194) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 86736) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: RI MD18497) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2022-08-23 |