| NPI | 1255872453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VT 032-0133900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 032-0133900) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 330524) | |
| 208M00000X Hospitalist (Licence: VT 032-0133900) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2025-08-27 |