| NPI | 1770945941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA11817000) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 291692) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2023-08-28 |