| NPI | 1851853436 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL MD.44540) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS T-3764) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: AL MD.44540) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: MS T-3764) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2024-03-14 |