NPI | 1467015610 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL OS18583) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL OS18583) |
Enumeration Date | 2019-04-15 |
Last Update Date | 2025-08-01 |