| NPI | 1043463185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101270590) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WI 55733) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: WI 55733-020) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2020-09-17 |