| NPI | 1215969837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: UT 7549046-1205) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO 44368) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2015-06-09 |