NPI | 1467912030 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 85677-20) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01087307A) |
207R00000X Internal Medicine (Licence: WI 85677-20) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-03-21 |
Last Update Date | 2025-07-07 |