NPI | 1760911598 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MS 31210) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL51144) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-06-06 |
Last Update Date | 2024-01-22 |