| NPI | 1053568667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NM MD2021-1113) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: WI 53026) |
| 207RG0100X Internal Medicine Gastroenterology (Licence: OK 32006) | |
| 208M00000X Hospitalist (Licence: IL 036122476) | |
| 207R00000X Internal Medicine (Licence: IN 01070297) | |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2022-06-15 |