| NPI | 1760989339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: AL MD.50778) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2025-06-09 |