NPI | 1902017452 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NC 2011-00442) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD429708) |
207RT0003X Internal Medicine Transplant Hepatology (Licence: NJ 25MA09768200) | |
208M00000X Hospitalist (Licence: PA MD429708) | |
Enumeration Date | 2007-05-25 |
Last Update Date | 2018-03-17 |