| NPI | 1568781706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101260550) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 165250) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2024-03-11 |