NPI | 1710397104 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 90414) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036143311) | |
Enumeration Date | 2014-05-06 |
Last Update Date | 2021-12-09 |