NPI | 1144577826 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD467704) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2014-01431) |
Enumeration Date | 2012-08-13 |
Last Update Date | 2020-08-27 |