| NPI | 1700078276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA MD.203132) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA PGY.1.LSUNO-IM) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2024-04-30 |