| NPI | 1487033999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2022-00761) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 60278) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2022-05-24 |