NPI | 1659637544 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A154654) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125061304) |
207R00000X Internal Medicine (Licence: NM MD2015-0700) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-04-05 |
Last Update Date | 2024-10-21 |