| NPI | 1295963379 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AR E9623) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2011036079) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2016-12-13 |