| NPI | 1306866207 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: HI MD17092) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CA A85135) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A85135) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-07-31 |