| NPI | 1396240487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL MD.42859) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL L.4756R) |
| 207R00000X Internal Medicine (Licence: AL MD.42589) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AL L.4756R) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2023-10-13 |