| NPI | 1013335595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: PA MD479692) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: OH 35.146714) |
| 208M00000X Hospitalist (Licence: NY 290098) | |
| 207R00000X Internal Medicine (Licence: NY 290098) | |
| 207RG0100X Internal Medicine Gastroenterology (Licence: WV 30370) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2023-10-20 |