| NPI | 1902269400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL MD.36217) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL 36217) |
| 207R00000X Internal Medicine (Licence: AL 36217) | |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2023-10-13 |