NPI | 1083001473 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 90521) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A146203) |
208M00000X Hospitalist (Licence: CA A146203) | |
Enumeration Date | 2015-04-23 |
Last Update Date | 2023-07-26 |