| NPI | 1356637581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2015-01136) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 16854) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 16854) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2022-01-11 |