| NPI | 1336302157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MI 4301100518) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: MO 2011009297) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2015-05-18 |