| NPI | 1649526369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD471436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 282827) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2021-07-13 |