| NPI | 1750642807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 24037) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 316760) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-07-19 |