NPI | 1780706630 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301081735) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301081735) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301081735) | |
Enumeration Date | 2007-04-04 |
Last Update Date | 2012-04-05 |