| NPI | 1093129751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: ID M-15090) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125065349) |
| 208M00000X Hospitalist (Licence: TN 55672) | |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2020-08-06 |