NPI | 1417339037 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD61064912) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61064912) |
207RG0100X Internal Medicine, Gastroenterology (Licence: GA 98839) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-06-19 |
Last Update Date | 2024-04-20 |