| NPI | 1215211032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2016-01651) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NE 28244) |
| 208M00000X Hospitalist (Licence: IA 41733) | |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2023-11-01 |