| NPI | 1649567926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MN 70746) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: SD 10178) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD042302) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2022-07-21 |