| NPI | 1346683323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: TX S2225) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IA MD-50847) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2024-02-04 |