| NPI | 1164523908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: PA MD436945) |
| Additional Taxonomies | 207RI0008X Internal Medicine, Hepatology (Licence: OK 29835) |
| 208M00000X Hospitalist (Licence: NJ 25MA07933600) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-28 |