NPI | 1417064825 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD459392) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: IA 35547) |
208M00000X Hospitalist (Licence: IA 35547) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2006-08-23 |
Last Update Date | 2020-06-23 |