| NPI | 1699032250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D88956) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2024-09-09 |