NPI | 1184905572 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A165942) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD452281) |
208M00000X Hospitalist (Licence: PA MD452281) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2011-08-30 |
Last Update Date | 2020-07-14 |