| NPI | 1336344977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 2013-01850) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 201301850) |
| 208M00000X Hospitalist (Licence: ME 018209) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2023-07-31 |