| NPI | 1396033650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01084909A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q7451) |
| 208M00000X Hospitalist (Licence: OH 35.123049) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: ND RL11813) | |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2021-06-01 |