NPI | 1689084774 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 54270) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: AZ 54270) |
Enumeration Date | 2014-04-29 |
Last Update Date | 2024-08-02 |