NPI | 1043539471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 51932) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 46000) |
207R00000X Internal Medicine (Licence: OH 123287) | |
208M00000X Hospitalist (Licence: KY 46000) | |
Enumeration Date | 2010-05-25 |
Last Update Date | 2024-05-20 |