| NPI | 1083001473 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: SC 90521) | 
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A146203) | 
| 208M00000X Hospitalist (Licence: CA A146203) | |
| Enumeration Date | 2015-04-23 | 
| Last Update Date | 2023-07-26 |