| NPI | 1043296866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A100119) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 217683) |
| 208M00000X Hospitalist (Licence: MA 227789) | |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2010-09-28 |