NPI | 1780147934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME172716) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL me172716) |
Enumeration Date | 2019-04-12 |
Last Update Date | 2025-07-25 |