| NPI | 1255434122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL OS18141) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036081654) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IL 036081654) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: FL OS18141) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2026-02-20 |