| NPI | 1043631070 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: KY 51604) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 51604) | 
| 208M00000X Hospitalist (Licence: KY 51604) | |
| Enumeration Date | 2013-12-17 | 
| Last Update Date | 2025-06-09 |