NPI | 1043463185 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101270590) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 55733) |
207RG0100X Internal Medicine, Gastroenterology (Licence: WI 55733-020) | |
Enumeration Date | 2008-11-03 |
Last Update Date | 2020-09-17 |