| NPI | 1124445002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35.131153) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD57335) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01091513A) | |
| 208M00000X Hospitalist (Licence: TN MD57335) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2024-01-29 |