| NPI | 1316067754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2010-00538) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2010-00538) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101260004) | |
| 208M00000X Hospitalist (Licence: NC 2010-00538) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2023-07-16 |