NPI | 1811421597 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MA11750800) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D0097816) |
207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-16780) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2017-04-19 |
Last Update Date | 2024-04-10 |