| NPI | 1467837880 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 43817) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MO 2015018261) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036161290) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2015018261) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2024-09-09 |