NPI | 1366837890 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A184576) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NJ 25MA10327400) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-01 |
Last Update Date | 2024-11-11 |