| NPI | 1417064825 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| 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 |