| NPI | 1659995397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG226976) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OR PG226976) | |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2026-06-29 |