| NPI | 1427437706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND RL13669) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ND 14928) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: PA MT212379) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: IL 36157577) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: WI 75828) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2022-12-07 |