NPI | 1437530045 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NM MD2020-0309) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10052415) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2024-08-16 |