| NPI | 1568810984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A177795) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA D6779996) |
| 207R00000X Internal Medicine (Licence: CA A177795) | |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2024-04-26 |