| NPI | 1245897198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2020-03756) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2020-03756) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2026-06-29 |