NPI | 1649214040 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME87439) |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 19807) |
208M00000X Hospitalist (Licence: FL ME87439) | |
Enumeration Date | 2006-06-15 |
Last Update Date | 2020-02-26 |