| NPI | 1013400548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 94718) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD29631) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: ME MD29631) | |
| 208M00000X Hospitalist (Licence: NC 2021-02132) | |
| 207R00000X Internal Medicine (Licence: NC 237797) | |
| Enumeration Date | 2018-06-09 |
| Last Update Date | 2025-09-26 |