NPI | 1891090528 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL OS11506) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL O11506) |
Enumeration Date | 2011-01-11 |
Last Update Date | 2019-11-26 |