| NPI | 1053546945 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A147576) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 39494) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IA MD-39493) | |
| 208M00000X Hospitalist (Licence: IA 39493) | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2022-07-21 |