| NPI | 1295927390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A101800) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A101800) |
| 208D00000X General Practice (Licence: CA A101800) | |
| 208M00000X Hospitalist (Licence: CA A101800) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2023-02-07 |