NPI | 1356920490 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM 335404-01) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 335404-01) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-06 |
Last Update Date | 2025-07-14 |