| NPI | 1558651281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CO DR.0060378) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: NM MD2017-0250) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2021-06-18 |