NPI | 1740644657 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A152531) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A152531) |
208M00000X Hospitalist (Licence: CA A152531) | |
Enumeration Date | 2016-04-06 |
Last Update Date | 2023-08-31 |