NPI | 1487069597 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-142486) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065229) |
207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036-142486) | |
208M00000X Hospitalist (Licence: IL 036142486) | |
Enumeration Date | 2014-06-26 |
Last Update Date | 2021-04-21 |