| NPI | 1972980548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: ID O-1478) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 02005507A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2021-06-15 |