| NPI | 1831352095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C168362) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q8611) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2024-08-14 |