NPI | 1821324179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.138682) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 107683) |
208M00000X Hospitalist (Licence: MN 58640) | |
Enumeration Date | 2009-10-21 |
Last Update Date | 2020-06-24 |