NPI | 1336586908 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A133244) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A133244) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-05-22 |
Last Update Date | 2021-04-06 |