| NPI | 1043539471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 51932) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 46000) |
| 207R00000X Internal Medicine (Licence: OH 123287) | |
| 208M00000X Hospitalist (Licence: KY 46000) | |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2024-05-20 |