| NPI | 1437477197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CO DR0058180) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT197336) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT197336) | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2023-10-31 |