| NPI | 1245779099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 5151013595) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 34.014233) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2024-06-27 |