| NPI | 1497166573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CO DR.0066766) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 1078381A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2021-07-23 |