| NPI | 1144586959 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX Q7230) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: LA MD.208032) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2021-05-13 |