| NPI | 1316213481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 279300) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NC 2015-01505) |
| 207R00000X Internal Medicine (Licence: IN 01090350A) | |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 01090350A) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2023-08-17 |