| NPI | 1285892463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NJ 25MB09979400) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 263012-1) |
| 208M00000X Hospitalist (Licence: NC 2009-01403) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-05-25 |
| Last Update Date | 2018-03-17 |