| NPI | 1669932729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 77020) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 61655) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01100267A) | |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2026-06-10 |