| NPI | 1982848750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD453921) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E-8167) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.098426) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2022-04-11 |