| NPI | 1760772925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036169225) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: GA 93121) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD467178) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2024-09-09 |