| NPI | 1073839239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01089270A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q0561) |
| 207R00000X Internal Medicine (Licence: OH 35.126405) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q0561) | |
| 208M00000X Hospitalist (Licence: OH 35 126405) | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2024-01-04 |