NPI | 1750342747 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME139365) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME139365) |
Enumeration Date | 2006-03-29 |
Last Update Date | 2019-07-11 |