NPI | 1306133988 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL 153144) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 289888) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-07-05 |
Last Update Date | 2022-02-21 |