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 |