| NPI | 1477909315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 0000) |
| 208M00000X Hospitalist (Licence: CT 63901) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-07-20 |