NPI | 1467795377 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A147910) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 276855) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-03-28 |
Last Update Date | 2020-11-04 |