| NPI | 1831619527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD481526) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036151841) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4425970) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2023-08-17 |