| NPI | 1326207341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX n9124) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX n9124) |
| 208M00000X Hospitalist (Licence: TX n9124) | |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2014-06-02 |