NPI | 1164884284 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A192254) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A192254) |
207RT0003X Internal Medicine, Transplant Hepatology (Licence: CA A192254) | |
208M00000X Hospitalist (Licence: DC MD045392) | |
Enumeration Date | 2016-03-28 |
Last Update Date | 2024-03-16 |