| NPI | 1336589274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 319922) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CT 054591) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10047726) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2023-07-14 |