| NPI | 1598052748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MB09382800) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036145398) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX R0571) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2020-02-07 |