NPI | 1942575154 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 54289) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 54289) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-03-21 |
Last Update Date | 2019-05-30 |