| NPI | 1255691895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 50717) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 50717) |
| 208M00000X Hospitalist (Licence: AZ 50717) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2021-10-06 |