NPI | 1326392291 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO TL.0006908) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116025401) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2014014392) | |
Enumeration Date | 2012-10-31 |
Last Update Date | 2018-03-17 |