| NPI | 1427348648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX R6969) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301111644) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301111644) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2021-07-14 |