NPI | 1578758124 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 15674) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT189084) |
207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD445519) | |
Enumeration Date | 2007-09-06 |
Last Update Date | 2015-02-10 |