NPI | 1871153247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: IA R-12328) |
Enumeration Date | 2019-06-18 |
Last Update Date | 2022-03-09 |